At Specialty Rx, Inc., employees are expected to support the company's CARE culture — Commitment, Accountability, Respect, and Excellence — while delivering top-quality service to customers and colleagues.
Primary responsibilities include:
- Perform duties assigned by the Billing Supervisor
- Research and establish patient eligibility and coverage with insurance providers (state and private)
- Determine and process insurance rejections according to the daily report
- Maintain and update patient billing and insurance information in the system
- Submit prior authorizations for state insurance
- Communicate daily with insurance companies regarding overrides, rejections, and insurance updates
- Interact with client facilities staff, PDP (Medicare), CMS, NJM, and NYM as needed
- Follow up on and resolve pending billing issues
Requirements & Qualifications
- High school diploma or equivalent
- Third-party rejections experience required
- Experience in long-term care pharmacy preferred
- New York pharmacy billing claims experience preferred
- Courteous and polite phone skills
- Computer literate
- Previous pharmacy experience
- Ability to work independently and as part of a team
- Ability to multitask in a fast-paced environment
- Frameworks/ECM knowledge is a plus
- Detail oriented
- Ability to work nights and weekends is required
Location
Atlanta, Georgia, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
Yes
Posted
1 week ago